How to perform the paediatric arthrotomy knee.pptx

knee arthrotomy technique

1. Knee arthrotomy

2. Medial parapatellar approach Landmarks Palpate the patella. Run fingers down to the patellar ligament (ligamentum patellae) which runs from the inferior border of the patella and is palpable to its insertion into the tibial tubercle. Incision Make a longitudinal straight midline incision, extending from a point 5 cm above the superior pole of the patella to below the level of the tibial tubercle.

3. Parapatellar approach The skin incision begins proximally at the level of the midpatella and initially extends to the joint line. The incision is adjacent to the patellar tendon. Incise the capsule in the same plane. The incision may be extended.